Provider Demographics
NPI:1194977751
Name:HONNY, JEAN MARGARET (MSDH, RDH)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:MARGARET
Last Name:HONNY
Suffix:
Gender:F
Credentials:MSDH, RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18775 CHICKORY DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-9526
Mailing Address - Country:US
Mailing Address - Phone:951-789-7128
Mailing Address - Fax:
Practice Address - Street 1:18775 CHICKORY DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-9526
Practice Address - Country:US
Practice Address - Phone:951-789-7128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDH 17760124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARDH 17760OtherSTATE LICENSE